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Understanding complex trajectories in health and social care provision
Author(s)Davina Allen, Lesley Griffiths, Patricia Lyne
Journal titleSociology of Health & Illness, vol 26, no 7, November 2004
Pagespp 1008-1030
Sourcehttp://www.blackwellpublishing.com
KeywordsStroke ; Rehabilitation ; Interaction [welfare services] ; Case studies ; Longitudinal surveys ; Wales.
AnnotationEnsuring collaboration between health and social care providers is a well-established policy concern in most developed countries. Thus far, however, this has proved to be a frustratingly elusive goal. Despite the growing body of empirical work devoted to this issue, social scientific theorising on the management of complex caring trajectories remains underdeveloped. The authors draw on Strauss et al's (1985) writings on illness trajectories and Elias's (1978) game model to offer a framework that can assist understanding of the linkages between individual trajectories of care and broader health and social care systems. They state that it is only when they have developed a more theoretically sophisticated understanding of this relationship that they can begin to explain why trajectories of care take the course that they do. The framework arises from their analysis of eight ethnographic case studies of adults undergoing rehabilitation from a first acute stroke, and they illustrate its utility by reference to one specific case, Edward. Their study was carried out in 1998 and 1999 in two Welsh health authorities. (RH).
Accession NumberCPA-050117214 A
ClassmarkCQA: LM: QK6: 69P: 3J: 9

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